It seems like a simple idea: create new marketplaces, called exchanges, where consumers can comparison shop for health insurance, sort of like shopping online for a hotel room or airline ticket.
But, like almost everything else connected with the health law, state-based insurance exchanges are embroiled in politics. Some Republican governors have refused to set up any exchanges. Arizona Gov. Jan Brewer and New Jersey Gov. Chris Christie, both Republicans, say that the law gives states "little actual authority" over the exchanges even if they run them and they lack information about the alternatives.
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Source: Kaiser Health News